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Home My WebLink About0102185-Building (roof) OSHI4OSF~ ON THE WATER Job Address 2018 NEBRASKA ST Designer Category 141 - Exterior Remodeling Type · B~i!ding (~ Si~ _ Zoning CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner EARL E/CAROL J HANSEN TRUST Contractor ACCURATE ROOFING _~Canopy Class of Const: Create Date Plan (~_.Fen~c~ ...... (~ Raze Size No 0102185 06/13/2003 Unfinished/Basement 0 Sq. Ft. Finished/Living ..... 0 Sq. Ft. Garage 0 Sq. Ft. Foundation · Poured Concrete (~) Floating Slab (~ Concrete Block O Post Occupancy Permit Not Re_~u_ire~d__ Park Dedication Use/Nature of Work Rooms 0 Height 0 Ft. Bedrooms 0 Stories Baths 0 (~ Pier (~ Other (~ Treated Wood Flood Plain __ Height Permit # Dwelling Units 0 # Structures 0 ~FR/T~ar off a~d replace existing roofing on house and garage, due to old age *NO STRUCTURAL WORK [] Projection Canopies 0 Signs 0 HVAC Contractor Electric Contractor Fees: Valuation issued By; $4,450.00 Plan Approval Plumbing Contractor $0.00 Permit Fee Paid [] Permit Voided~~ $40.00 Park Dedication $0.00 Date 06/13/2003 Final/O.P. 00/00/0000 Signatureln the performance):~4~ wud~ree to perlf~m all work pursuant to rules governing the described construction.,~.~.~..~ ~ Date ~"t//~ Agent/Owner Address 1011 KANSAS ST OSHKOSH WI 54902 - 0000 Telephone Number 303~1897 City of Oshkosh InspectiBn Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Roofing & Siding Permit Application b_/HKO_/H · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR I ou are a contractor artici atin in the Permit eeAccountS stem and have adc uate 'unds check here i ouwant this rocessedthrou h our account ~] JOB ADDRESS OW~rR CONTRACTOR I am the: [] Owner OR El Contractor USE CATEGORY /~Single Family [] Duplex [] Multi-Family Work being done: ROOFING [~ear offand replace existing roofing on [$}-house,~l~ garage [] Replace wood decking [] Add 1 layer of roofing to the existing This work is being done due to [] Hail Damage DJ'Other .. SIDING [] Install siding on [] house, [] garage [] Replacing vinyl with vinyl [] Replacing steel or aluminum with vinyl (circle steel or aluminum) [] Replacing with This work is being done due to [] Hail Damage [] Other [] Rental [] Commercial [] Industrial layer(s) on [] house, [] garage When siding is done, one of the boxes below must be eheeked: 1 ) [] Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed by (Nam¢ of Licer~ed Elect~c Contractor) AND ~ Electric Installation Verification f~rm is attached O~R ~ Sel~arate Elect Permit will be requested. 2) [] Electric - Not Applicable because: E J Blocks previously installed. ~ No outside lights, rn Other [] Install new or [] Replace gutters [] Install new or [] Replace downspouts Other related work being done: (please note)_ Value of the job $ ~ 6/5'0. O© (include fair market price for labor even if you are not paying for labor) 03/02